Answers Already Passed
What is the most important nursing intervention when administering medications to an elderly
patient?
✔✔Ensuring the patient understands the medication regimen and potential side effects.
Why is it important to monitor the blood pressure of a patient receiving antihypertensive
medications?
✔✔To ensure the medication is effectively controlling blood pressure without causing
hypotension.
What is the main purpose of using a nasogastric tube in patients post-operatively?
✔✔To decompress the stomach and prevent nausea and vomiting.
Which assessment finding is most concerning in a patient with heart failure?
✔✔Sudden weight gain and increased shortness of breath.
What is the nurse's primary role during a blood transfusion?
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,✔✔To monitor for signs of a transfusion reaction and stop the transfusion immediately if one
occurs.
What should the nurse assess before administering a diuretic medication?
✔✔The patient's electrolyte levels, particularly potassium.
Which nursing intervention is most effective for preventing pressure ulcers in bed-bound
patients?
✔✔Repositioning the patient every two hours and using pressure-relieving devices.
Why is it essential to monitor a diabetic patient's blood glucose levels regularly?
✔✔To maintain glucose control and prevent complications such as hypoglycemia or
hyperglycemia.
What is a priority nursing intervention for a patient experiencing an asthma attack?
✔✔Administering a bronchodilator as ordered to open the airways.
Which of the following is a key sign of infection in a post-operative wound?
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,✔✔Redness, warmth, and purulent drainage at the incision site.
What is the most appropriate action if a patient reports chest pain while ambulating after
surgery?
✔✔Stop the activity, have the patient rest, and assess vital signs immediately.
What should the nurse do if a patient on anticoagulants has a sudden drop in blood pressure?
✔✔Assess for signs of internal bleeding and notify the healthcare provider immediately.
Why is it important to educate patients about deep breathing and coughing exercises post-
operatively?
✔✔To prevent atelectasis and promote lung expansion.
What is the priority nursing diagnosis for a patient with impaired skin integrity?
✔✔Risk for infection.
Which action should the nurse take first when a patient begins to show signs of an allergic
reaction?
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, ✔✔Stop the administration of the suspected allergen and assess the patient's airway and
breathing.
Why is hand hygiene crucial in a healthcare setting?
✔✔To prevent the spread of infection between patients and healthcare workers.
What is the most important intervention for a nurse caring for a patient with pneumonia?
✔✔Encouraging fluid intake to help thin secretions and promote expectoration.
What should the nurse monitor in a patient taking opioid analgesics?
✔✔Respiratory rate, as opioids can cause respiratory depression.
What is the primary goal of administering IV fluids to a dehydrated patient?
✔✔To restore fluid balance and prevent complications such as electrolyte imbalances.
Why is it critical to assess a patient’s pain level regularly after surgery?
✔✔To manage pain effectively and promote recovery by encouraging mobility.
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